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Wisconsin rates for RC 0259

Pharmacy - Other Pharmacy

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $79.23
Molina
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00